Abstract:
AIM:We review three of the most important functional techniques in magnetic resonance imaging, it means spectroscopy, perfusion and diffusion; we do emphasize in its applications, particularly in the diagnostic and treatment of brain tumors. First, we discuss the physical principles and results interpretation of each technique. After that, we discuss its major applications. DEVELOPMENT AND CONCLUSIONS:Choline containing compounds using contralateral creatine and choline for normalization or ipsilateral N-acetyl-aspartate appeared to correlate best with the degree of tumor infiltration, regardless o tumor histological grade. Magnetic resonance spectroscopy imaging (MRSI) seems more accurate than conventional magnetic resonance imaging (MRI) in defining indistinct tumor boundaries and quantifying the degree of tumor infiltration. MRSI is the choice of site within a lesion for biopsy and use in image-guided therapy, including definition of radiation ports. Angiogenesis, and increased vascular permeability, are characteristic of cerebral neoplasms; these processes can be imaged using perfusion MRI. Most commonly, tumor perfusion is measured using rapid gradient T2-weighted imaging during bolus injection of gadolinium dimeglumine gadopentetate. Care has to be taken to avoid blood-brain barrier leakage affecting perfusion results. Pharmacokinetic models are available for estimation of blood-brain permeability. Cerebral blood volume increases with tumor grade, and maybe helpful in identifying tumor recurrence, and peri-tumoral edema, and distinguishing malignant from benign lesions.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Fayed-Miguel N,Morales-Ramos H,Modrego-Pardo PJsubject
Has Abstractpub_date
2006-06-16 00:00:00pages
735-42issue
12eissn
0210-0010issn
1576-6578pii
rn2005120journal_volume
42pub_type
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journal_title:Revista de neurologia
pub_type: 临床试验,杂志文章
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更新日期:1999-08-01 00:00:00
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journal_title:Revista de neurologia
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journal_title:Revista de neurologia
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journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
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journal_title:Revista de neurologia
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更新日期:2003-09-16 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
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journal_title:Revista de neurologia
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journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章,评审
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更新日期:2008-01-01 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
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journal_title:Revista de neurologia
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journal_title:Revista de neurologia
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更新日期:2001-08-16 00:00:00
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journal_title:Revista de neurologia
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更新日期:2011-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:1999-04-01 00:00:00
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更新日期:2010-10-01 00:00:00
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pub_type: 杂志文章,评审
doi:
更新日期:2003-08-16 00:00:00
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